• Title/Summary/Keyword: 임상적 타당성

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Development of evaluation criteria for dental hygiene intra-school clinical practice operation using CIPP evaluation model (CIPP 평가모형을 활용한 치위생과 교내임상실습 운영 평가기준 개발)

  • Jang, Mi-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.2
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    • pp.93-105
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    • 2022
  • Objectives: The purpose of this study was to develop operation management evaluation standards for efficient operation of practical courses conducted on campus and to verify validity and reliability. Methods: The draft evaluation criteria of this study were derived based on the CIPP program evaluation model, in order to verify the validity of the content, the Delphi survey was conducted targeting 30 dental hygiene professors and clinical field dental hygienists who had been in charge of practical education for more than 5 years. Main survey was conducted with 252 professors and clinical field dental hygienists in charge of practical education. Results: Through exploratory factor analysis, a total of 36 questions were confirmed with 7 factors. As a result of verifying the internal consistency of the final evaluation criteria, the degree of internal fit of the items in the entire domain was 0.914. Conclusions: According to the above results, the validity and reliability of the evaluation criteria for evaluating the operation and management of in-school clinical practice were verified to be appropriate, and it is thought that it can be used in follow-up studies related to the operation and management of the practice course in the future.

development of Decision Support System for the Management of hypertension using Datamining Technology (데이터마이닝 기법을 활용한 고혈압 관리를 위한 의사결정지원시스템의 개발)

  • 호승희;채영문;조승연;최동훈;송용욱;박충식;조경원;송지원
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2000.04a
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    • pp.271-282
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    • 2000
  • 본 연구의 목적은 데이터마이닝 기법을 임상적으로 중요한 위치를 차지하고 있는 고혈압 환자의 특성과 치료에 따른 예후를 예측할 수 있는 지식을 발굴하고 이의 임상적용의 타당성을 검증하여 의사결정지원시스템을 개발하고 이의 유용성을 평가하는데 있다. 이에 연세대학교 의과대학 부속 세브란스 병원의 환자를 대상으로 로지스틱 회귀분석을 이용하여 혈압조절상의 위험요인의 규명하고, 의사결정나무분석을 통해 치료약제별 혈압조절군과 비조절군의 특성을 도출하고 각 대상군을 결정짓는 규칙을 생성하였으며, 이를 활용한 의사결정지원시스템의 개발 및c 평가를 시행하였다. 그 결과 기존 임상이론만을 활용한 시스템의 처방에 의한 혈압조절군보다 데이터마이닝 기법을 활용한 시스템의 처방에 의한 혈압조절군의 비율이 전체적으로 더 높게 나타남을 알 수 있었다. 본 연구의 결과는 우리나라 현실에 부합되는 고혈압 진료지침을 개발하고 적용, 평가하는데 기여할 수 있을 것으로 판단되며, 이와 같은 의사결정지원 시스템을 운영을 통해 실제 임상 진료에 적용해 봄으로써 그 효과와 실증적 가치를 창출할 수 있을 것이다.

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Development of the Children's Separation Rating Scale Its Clinical and Research Use (아동분리반응척도의 개발 : 임상 및 연구응용)

  • Kim, Wun-Jung;Hahn, Sung-Up
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.148-160
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    • 1990
  • This paper reports on the development of the Children's Separtion Rating Scale(CSRS), its initial reliability and validity, and clinical/research utility with psychiatrically hospitalized children. The CSRS appears to be a reliable and valid instrument, and useful in distinguishing children's separation reaction from their general psychopathology. It may be also useful in aiding clinicians in differential diagnosis. This study points to the need for further understanding of children's psychiatric hospitalization in relation to their separation reaction and its possible untoward effects. Findings of this pilot study support the notion that inpatient treatment programs should address the developmental needs and abilities of the various age groups and the particular deficits reflected in their psychopathology.

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The Clinical Adequacy of Internalized Shame: correlation with Self-control, Aggression, and Addiction Potential (내면화된 수치심의 임상적 타당성: 자기통제력, 공격성 및 중독가능성과의 상관을 중심으로)

  • Chung, Nam-Woon;Yu, En Yung
    • Korean Journal of Culture and Social Issue
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    • v.21 no.3
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    • pp.481-496
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    • 2015
  • The purpose of this study was to search for empirical evidence between internalized shame with self-control, aggression, and addiction potential. Also examine the differences between clinical group and normal group. The data was collected from 100 AA participants and 380 Non-AA participants. For measuring each variable, internalizes shame scale(ISS), self-control rating scale(SCRS), Buss-Durkee Hostility inventory(BDH), addiction potential scale(APS) were used. The survey result was analyzed with Pearson Correlation, Partial correlation and t-test. The results shows: Frist, the internalized shame and the aggression, the addiction potential shows a positive correlation but the self-control shows negative correlation. Second, after control self-control, internalized shame positively correlate to addiction potential and aggression. Third, clinical group recorded a higher level in internalized shame, aggression and addiction potential than normal group; a lower level in self-control. Based on the finding, the implications of understandings, the interventions, the limitations of this study, and the suggestions were discussed.

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Clinical Validity of the Domestic EEG and EP Mapping System(Neuronics) (국산화 EEG 및 EP Mapping System(Neuronics)의 임상적 타당성 연구)

  • Min, Sung-Kil;Jon, Duk-In;Lee, Sung-Hoon;Ahn, Chang-Beom;Yoo, Sun-Kook
    • Sleep Medicine and Psychophysiology
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    • v.4 no.1
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    • pp.96-106
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    • 1997
  • The clinical validity of a korean EEG and EP mapping system(Neuronics) was evaluated with schizophrenic patients(n=20), normal controls(n=19), and 10 patients with central nervous system disease(8 patients with cerebrovascular accident, 1 patient with brain mass, and 1 patient with periodic paralysis). In the normal control group, the pattern of resting computerized EEG with eyes closed showed normal parieto-occipital dominance of alpha wave. Compared with normal controls, schizophrenic patients had more delta activity in the frontal region, and less alpha activity especially in the parieto-occipital region. In most cases patients with cortical organic lesions(n=5) revealed increased delta and theta activity and decreased alpha activity on the lesion areas. These findings were compatible with their MRI and clinical findings. However in the cases of subcortical lesions(n=5) EEG showed various findings which suggest diverse influences of subcortical abnormalities on cortical activities. The P300 of schizophrenic group was smaller and more delayed than those of normal controls. These results are generally compatible with the previous studies using other EEG and EP mapping systems consequenty and suggest that the this EEG and EP mapping system(Neuronics) has clinical validity.

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Impacts of Professional Autonomy and Role Conflict Clinical Decision-Making Ability of Nurses on Comprehensive Nursing Care Service Wards (간호간병통합병동 간호사의 전문직 자율성, 역할갈등이 임상적 의사결정능력에 미치는 영향)

  • Son, Yu-Lim;Kim, Eun-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.463-473
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    • 2018
  • This investigation was a descriptive study that examined the relationship among factors including professional autonomy, role conflict, and clinical decision-making ability of nurses on comprehensive nursing service wards. To accomplish this, a survey of 234 nurses working at D city and G city who were selected based on convenience sampling was conducted. Data were collected using a self-reported questionnaire completed by 234 nurses at four clinical hospitals from October 12, 2017 to November 30, 2017. The collected data were evaluated by t-tests, ANOVA, Pearson's correlation and stepwise multiple regression analysis. The mean clinical decision-making ability score was $3.38{\pm}0.78$, which corresponded to an intermediate level of clinical decision-making ability. Clinical decision making ability was positively correlated with professional autonomy, but role conflict showed a negative correlation. The factors having the greatest impact on clinical decision-making ability were found to be, in order, length of work, education level, professional autonomy and role conflict, which together accounted for 38.7% of the total impact. To improve clinical decision making ability, it is important to improve autonomy and role conflict. Additionally, to improve clinical decision-making ability, it is necessary to improve clinical decision-making ability to determine nurses tasks through professional autonomy and role conflict. Overall, the results of this study can be utilized as baseline data when developing a program to enhance nurses' clinical decision making ability. Moreover, it is suggested that an interventional study analyzing validity and effectiveness of developed education programs be conducted.

Validity of Arch Relationship Measurements in Digital Dental Models (디지털 치열 모형에서 악궁 관계 지표 측정의 타당성)

  • Ryu, Jiin;Yang, ByoungEun;Lee, Hyelim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.14-24
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    • 2022
  • The aim of the present study is to evaluate the validity of orthodontic measurements including tooth width, Bolton ratio, overjet and overbite on the digital dental models. Dental models of the subjects aged 12 to 18 were obtained in 3 different forms, which were conventional stone model, digital model created with Freedom HD model scanner, and digital model produced with CS3600 intraoral scanner. After measurements were made on the models, reliability and reproducibility of the measurements were evaluated by using intraclass correlation coefficient, while validity was assessed with paired t-test. As a result, significant reliability and reproducibility were verified, with intraclass correlation coefficient exceeding 0.750 in all groups. Measurements of the model scanned group showed an adequate validity in overall and anterior Bolton ratio, overjet, and overbite. Intraoral scanned models showed an adequate validity in anterior Bolton ratio, and overjet. Measurement on intraoral scanned digital models can be considered as an alternative for young children who have difficulty in taking impression. Furthermore, careful considerations on measurement error should be made in clinical situations.

A Single Mode Battery Charger (밧데리 전압추정에 의한 단일충전)

  • Park, M.Y.;Lee, S.H.;LIM, S.K.;Park, S.J.
    • Proceedings of the KIPE Conference
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    • 2012.11a
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    • pp.139-140
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    • 2012
  • 현재의 배터리 충전기는 보편적으로 CC-CV 충전방법을 사용하면서 배터리의 과충전에 대해 안정적인 제어를 한다. 하지만 충전말기의 CV 모드는 배터리 충전이 느려 시간이 많이 낭비된다. 본 논문은 CC 단일형 충전을 하면서 과충전의 우려는 DFT를 사용하여 배터리 내부전압을 추정하면서 내부 알고리즘에 의해 배터리 내부전압이 설정값이 되었을 경우 충전을 종료하면서 CV 충전으로 낭비되는 시간을 줄인다. 이를 시뮬레이션을 통하여 그 타당성을 확인한다.

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Intermachine Validity and Reliability of The F-mat and F-scan (발 압력 측정계(F-mat과 F-scan system)의 신뢰성과 타당성에 대한 연구)

  • Kim Kyoung;Park Young-Han;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.29-37
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    • 2000
  • 본 연구의 목적은 힘판(Force plate)의 지면반발력(Ground reaction force)의 비교에 따라 발압력 측정계(F-메트와 F-스킨)의 상호 기계간의 신뢰성과 타당성을 연구하는 데에 목적을 두고 있으며 정상인과 리스프랑크(Lisfranc) 골절을 가지고 있는 환자를 대상으로 분석 연구하게 되었다. 힘판의 지면 반발력을 기준치로 설정하고 정상인과 환자의 각각 오른발과 왼발의 스텝에 대해 F 메트(F-mat) 와 F 스캔(F-scan) 시스템의 그래픽 비교 모식과 시간에따른 보령분석의 차이에 따라 이 논문에 대한 결과를 얻을 수 있었다. 본 연구에서는 F 스킨 시스템의 데이터 분석기인 새로운 버전 3.622와 마이크로 소프트웨어인 엑셀 97을 통해 새 시스템의 힘의 평균치와 그래픽을 통해 비교 분석하게 되었으며 다음과 같은 세가지 결론을 얻을 수 있었다. 첫 번째로 F스캔의 지면 반발력은 힘판과 비교되어질 때 통계학적으로 중요한 차이점을 얻을 수 없을 것이다. 두 번째, F 메트를 위한 지면 반발력 역시 힘판과 비교되어질 때 통계학적으로 중요한 차이점율 얻음 수 없을 것이다. 세 번째로 정상군과 실험군의 지면 반발력에 대해 중요한 차이점이 있을 것이라는 것이 밝혀졌다. 특히 정상군의 대상자는 실험군의 대상자와 비교되어질 때 각 발에 대해 증가된 지면 반발력을 나타내었다. 이상 본 연구에 대해 다음의 결론을 내릴 수가 있었고 기존의 F 스캔 시스템이 임상적으로 많이 쓰여졌지만 F 스캔의 센서에 대해 많은 이견 차이를 보였었다. 한편. F메트 시스템에서 F메트 센서의 일관성에 대해서는 어느 연구 논문도 나오지 않았고 이에 대해 F스캔(F-scan)과 힘판(Force plate)를 상호 비교하여 F메트 시스템에 대한 신뢰성과 타당성을 연구하는데 목적을 두게되었다.

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Reliability and validity of Korean version of the OHIP for edentulous subjects: A pilot study (무치악 환자들을 위한 한국어 버전의 구강건강영향지수 신뢰도와 타당성 평가를 위한 모의연구)

  • Shin, Jae Seob;Bae, So Young;Park, Jin Hong;Shim, Ji Suk;Lee, Jeong Yol
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.305-313
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    • 2021
  • Purpose. The purpose of this pilot study is to evaluate the reliability and validity of the Korean version of the oral health impact profile (OHIP-EDENT K) for edentulous patients. Materials and methods. The study was conducted on 12 patients who fabricated overdenture in the Department of Prosthodontics, Korea University, Guro Hospital. All subjects completed the Korean version of Oral Health Impact Profile (OHIP K) questionnaire. Shorten version of the OHIP called OHIP-14 K and OHIP-EDENT K were derived from the datasets. Cronbach's alpha was used to measure internal consistency of the summary scores for OHIP-EDENT K. The Spearman's correlation coefficient between the summary scores for OHIP-EDENT K and OHIP K was calculated to evaluate concurrent validity. Results. The reliability of the summary scores for OHIP-EDENT K was acceptable (α=.736). The Spearman's correlation coefficient of the summary scores for OHIP-EDENT K and OHIP K was 0.966, which was statistically significant (P<.001). OHIP-EDENT K exhibited less susceptibility to floor effects than OHIP-14 K and appeared to measure change as effectively as OHIP K. In order to prove the reliability, responsiveness and validity of OHIP-EDENT K, further studies with more samples are needed. Conclusion. The OHIP-EDENT K, a questionnaire on oral health-related QOL comprising 19 items, has measurement properties comparable with the full 49-item version. This modified shortened version can be an alternative questionnaire to full version of OHIP K and OHIP-14 K in edentulous patients.